While supervised learning has achieved remarkable success, obtaining large-scale labeled datasets in biomedical imaging is often impractical due to high costs and the time-consuming annotations required from radiologists. Semi-supervised learning emerges as an effective strategy to overcome this limitation by leveraging useful information from unlabeled datasets. In this paper, we present a novel semi-supervised learning method, Dual-Decoder Consistency via Pseudo-Labels Guided Data Augmentation (DCPA), for medical image segmentation. We devise a consistency regularization to promote consistent representations during the training process. Specifically, we use distinct decoders for student and teacher networks while maintain the same encoder. Moreover, to learn from unlabeled data, we create pseudo-labels generated by the teacher networks and augment the training data with the pseudo-labels. Both techniques contribute to enhancing the performance of the proposed method. The method is evaluated on three representative medical image segmentation datasets. Comprehensive comparisons with state-of-the-art semi-supervised medical image segmentation methods were conducted under typical scenarios, utilizing 10% and 20% labeled data, as well as in the extreme scenario of only 5% labeled data. The experimental results consistently demonstrate the superior performance of our method compared to other methods across the three semi-supervised settings. The source code is publicly available at https://github.com/BinYCn/DCPA.git.

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